ICD Code R22.32

ICD code R22.32 is localized swelling, mass, and lump in the left upper limb.

1. Presence of a localized swelling, mass, or lump specifically on the left upper limb

2. Swelling, mass, or lump is not generalized but confined to a specific area

3. No evidence of systemic or generalized edema

4. Swelling, mass, or lump is not attributable to an acute traumatic injury

5. Physical examination confirms the abnormality on the left upper limb

6. Symptoms may include visible or palpable enlargement, discomfort, or restricted movement in the affected area

7. No clear diagnosis of underlying cause at the time of coding (e.g., not yet identified as neoplasm, infection, or cyst)

Relevant CPT codes that may be used to treat ICD code R22.32 include:

- 20600: Arthrocentesis, aspiration and/or injection; small joint or bursa (e.g., fingers, toes)

- 20605: Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (e.g., wrist, elbow, ankle, temporomandibular, acromioclavicular, sternoclavicular)

- 20610: Arthrocentesis, aspiration and/or injection; major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa)

- 10160: Puncture aspiration of abscess, hematoma, bulla, or cyst

- 10021: Fine needle aspiration; without imaging guidance

- 10022: Fine needle aspiration; with imaging guidance

- 11400–11406: Excision of benign lesion including margins, trunk, arms, or legs (size-dependent)

- 12001–12007: Simple repair of superficial wounds of trunk, arms, or legs (size-dependent)

- 76882: Ultrasound, extremity, nonvascular, limited, real time with image documentation

CPT code selection should be based on the specific clinical scenario and procedure performed for R22.32.

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